3 rd Insights. Evidence and Outcomes in Hip and Knee Arthroplasty Scientific Programme. Chairmen Professor Fares Haddad (UK) Professor Jan Victor (BE)

Transcription

1 3 rd Insights Evidence and Outcomes in Hip and Knee Arthroplasty Chairmen Professor Fares Haddad (UK) Professor Jan Victor (BE) London, United Kingdom June, 2018

2 Page 2 Index Welcome Message Page 3 Description Page 4 Accreditation Page 4 Chairmen and faculty Page 4 Meeting Overview Page 6 Thursday, 21 June Page 7 Friday, 22 June Page 8 Staurday, 23 June Page 11 Sports Medicine Lunchtime Symposium Page 13 Meeting information Page 14 Notes Page 16

3 Page 3 3 rd Insights Evidence and Outcomes in THA and TKA June 2018 Welcome message Dear Delegate, Welcome to London and the 3rd Insights Meeting on Evidence and Outcomes in Hip and Knee Arthroplasty. Whilst we have started this series of educational events in 2013 with the meeting in Copenhagen, focusing on the future of both hip and knee repair and reconstruction, the 2016 edition in Amsterdam did exclusively focus on knee arthroplasty. Given the recent developments in orthopaedic reconstruction over the last years, both on the scientific and technological side, hip and knee deserve a joint approach in this meeting. Evidence and Outcomes in Hip and Knee Arthroplasty will not only look at daily practice, but also encompasses areas of larger interest, allowing for a deep dive into important topics in these areas. The addition of the Sports Medicine symposium on Friday allows for a larger outlook and for a holistic approach to those aspects. This educational activity gives you the opportunity to connect with peers and friends to ensure exchange of expertise and experience with a highly international faculty and audience. Almost 500 of your peers from 46 countries are onsite to engage in this learning opportunity, for which the Chairmen have invested significant time, allowing for discussion of various approaches to the treatment of your patients. For more than 160 years, Smith & Nephew has served as a leader in the healthcare industry. We have built a rich history through our commitment to innovation and professional education. During this event, we want to show you our support in your continuous strive for a better outcome and patient treatment. I am looking forward to an exciting symposium with many hours of fruitful discussions and interactions. Yours sincerely, María Jesús Barrenechea Senior Vice President Professional Education International Markets

4 Page 4 Description This meeting will bring together international Health Care Professionals (HCPs) to review the latest developments, research and evidence in hip and knee reconstruction. The interactive agenda will cover a diverse array of hip and knee surgical topics with the aim of improving patient outcomes and promoting best practice. The programme will combine scientific lectures and interactive, high level clinical discussions on hip and knee arthroplasty to ensure an optimal learning experience. A world class faculty will update you, challenge your practice and your thinking, and uncover new evidence and insights, with the aim of improving the quality of life of all our patients. Accreditation Accredited by the Royal College of Surgeons of England. Chairmen Professor Fares Haddad University College London Hospitals London, United Kingdom Professor Jan Victor Ghent University Hospital Ghent, Belgium Faculty Mr Tony Andrade Circle Reading Hospital Reading, United Kingdom Dr Fred Cushner Insall Scott Kelley Institute New York, USA Dr Kris Govaers Saint Blasius Hospital Dendermonde, Belgium Professor Johan Bellemans Ziekenhuis Oost-Limburg Genk, Belgium Professor Edward Davis Royal Orthopaedic Hospital Birmingham, United Kingdom Mr Alberto Gregori Hairmyres Hospital Glasgow, United Kingdom Dr Hanne Birke-Sørensen Århus University Århus, Denmark Professor Francesco Falez Ospedale Santo Spirito in Sassia Roma, Italy Professor Thomas Heyse ORTHOmedic Offenbach, Germany Professor Fabio Catani University of Modena Modena, Italy Dr Jenaro Fernández-Valencia Hospital Clinic de Barcelona Barcelona, Spain Mr Stephen Jones University Hospital Llandough South Glamorgen, United Kingdom Dr James Chow St Luke s Hedley Institute Phoenix, USA Dr Arnaud Fiquet Clinique Infirmerie Protestante Caluire et Cuire, France Dr Simon Journeaux Mater Hospital Brisbane, Australia

5 Page 5 3 rd Insights Evidence and Outcomes in THA and TKA June 2018 Faculty Mr Sudheer Karlakki Robert Jones & Agnes Hunt Hospital Oswestry, United Kingdom Mr Sujith Konan University College London Hospitals London, United Kingdom Professor Sören Toksvig-Larsen Lund University Lund, Sweden Professor Michael Leunig Schulthess Klinik Zurich Switzerland Professor Sébastien Lustig Hopital de la Croix-Rousse Lyon, France Dr Rodrigo Mardones Clinica Las Condes Las Condes, Chile Dr David Mayman Hospital for Special Surgery New York, USA Dr Michael McAuliffe St Andrew s Private Hospital Ipswich, Australia Dr Richard McCalden University of Western Ontario London, Canada Professor Sébastien Parratte Hôpital Sainte-Marguerite Marseille, France Professor Carsten Perka Charité Campus Mitte Berlin, Germany Dr Ashok Rajgopal Fortis Memorial Research Institute New Delhi, India Dr Martin Roche Holy Cross Hospital Fort Lauderdale, FL, USA Dr Ran Schwarzkopf NYU Hospital for Joint Diseases New York, USA Professor Edwin Su Hospital for Special Surgery New York, USA Dr Andrej Trampuz Charité Campus Mitte Berlin, Germany Professor Alfred Tria Princeton Medical Center Princeton, USA Professor Dick Van der Jagt Sandton Medi-Clinic Randburg, South Africa Professor Hilde Vandenneucker UZ Pellenberg Pellenberg, Belgium Dr Richard Von Bormann Blaauwberg Hospital Cape Town, South Africa Mr Tim Wilton Royal Derby Hospital Derby, United Kingdom Professor Luigi Zagra IRCCS Istituto Ortopedico Galeazzi Milano Milan, Italy Professor YiXin Zhou Peking University Health Science Center Peking, China Faculty Sports Medicine Symposium Mr Adil Ajuied Guy s and St Thomas Hopital London, United Kingdom Ms Ella Post EUCAN Marketing Manager Smith & Nephew Mr Riddhit Mitra Global Marketing Manager Smith & Nephew Prof Catherine Van Der Straeten Ghent University Hospital Ghent, Belgium Mr Sam Oussedik University College London Hospitals London, United Kingdom Dr Gijs Van Hellemondt Sint Maartenskliniek Nijmegen, Netherlands

6 Page 6 Meeting overview Thursday, 21 June Morning Arrival and registration 12:00-13:00 Welcome lunch (Monarch Suite) 13:00-14:00 Plenary session I (Kings Suite) 14:05-14:55 Hip breakout session I (Palace Suite) Knee breakout session I (Kings Suite) 15:00-15:50 Hip breakout session II (Palace Suite) Knee breakout session II (Kings Suite) 15:50-16:20 Coffee break 16:20-17:20 Plenary session II (Kings Suite) 17:20-18:20 Cocktail reception around exhibition area (Monarch Suite) 19:00 Faculty dinner and individual country dinners Friday, 22 June 07:00-08:00 Breakfast (Monarch Suite) 08:00-08:50 Plenary session III (Kings Suite) 08:50-09:40 Plenary session IV (Kings Suite) 09:40-10:10 Coffee break 10:10-10:55 Hip breakout session III (Palace Suite) Knee breakout session III (Kings Suite) 11:00-11:50 Hip breakout session IV (Palace Suite) Knee breakout session IV (Kings Suite) 11:55-12:45 Hip breakout session V (Palace Suite) Knee breakout session V (Kings Suite) 12:45-13:45 Lunch symposium Sports Medicine (Kings Suite) (Optional) 13:45-14:30 Hip breakout session VI (Palace Suite) Knee breakout session VI (Kings Suite) 14:35-15:25 Hip breakout session VII (Palace Suite) Knee breakout session VII (Kings Suite) 15:25-15:55 Coffee break 15:55-16:50 Plenary session V (Kings Suite) 16:50-17:45 Plenary session VI (Kings Suite) 19:00 Departure for meeting dinner Saturday, 23 June 07:00-08:15 Breakfast (Monarch Suite) 08:15-09:25 Plenary session VII (Kings Suite) 09:25-09:55 Coffee break 09:55-10:40 Hip breakout session VIII (Palace Suite) Knee breakout session VIII (Kings Suite) 10:45-11:35 Hip breakout session IX (Palace Suite) Knee breakout session IX (Kings Suite) 11:45-12:45 Plenary session VIII (Kings Suite) 12:45-13:30 Lunch and departures (Monarch Suite)

7 Page 7 3 rd Insights Evidence and Outcomes in THA and TKA June 2018 Thursday, 21 June Morning Arrival and registration 12:00-13:00 Welcome lunch 13:00-14:00 Plenary session I: A look at evidence F Haddad and J Victor 13:00-13:05 Welcome Namal Nawana 13:06-13:11 Opening of the meeting Chairmen 13:12-13:20 Evidence: What should you believe? J Bellemans 13:21-13:29 The role of randomised controlled trials C Van Der Straeten 13:30-13:38 The role of registries T Wilton 13:39-13:47 How to measure function? E Davis 13:48-14:00 Discussion 14:05-14:55 Hip session I: Early Intervention L Zagra and T Wilton 14:05-14:13 The role of arthroscopy in early degenerative hip T Andrade 14:14-14:22 Indication and limits of osteotomy M Leunig 14:23-14:31 Injection therapy in the hip R Mardones 14:32-14:40 The current role of resurfacing E Su 14:41-14:55 Discussion 14:05-14:55 Knee session I: Pre-arthroplasty intervention S Journeaux and A Tria 14:05-14:12 Arthroscopy, the needle and the damage done? R Von Bormann 14:13-14:20 Osteochondral defects in young patients. Is there a solution? M McAuliffe 14:21-14:28 Osteotomy F Catani 14:29-14:36 Injection therapy S Oussedik 14:37-14:44 Distraction therapy S Konan 14:45-14:55 Discussion 15:00-15:50 Hip session II: How to optimize THA? R Mardones and E Su 15:00-15:08 Computer assisted planning T Heyse 15:09-15:17 Improved fixation with new coatings S Jones 15:18-15:26 Soft tissue balance around the hip L Zagra 15:27-15:35 Primary stability in THA J Fernández-Valencia 15:36-15:50 Discussion 15:00-15:50 Knee session II: UNIs nowadays F Catani and R Von Bormann 15:00-15:07 Clarification of the indications A Gregori 15:08-15:15 Surgical technique for the lateral UNI S Lustig 15:16-15:23 PFJ: Are enabling technologies supporting improved outcomes? J Chow 15:24-15:31 Registry data: Are partial knees misunderstood? M McAuliffe 15:32-15:39 Outpatient UNIs - Good for me or good for the patient? F Cushner 15:40-15:50 Discussion

8 Page 8 Thursday, 21 June 15:50-16:20 Coffee break 16:20-17:20 Plenary session II: Role of enabling technologies J Chow and F Catani 16:20-16:28 Navigation: State of the art A Gregori 16:29-16:37 The role of robotics: Today and tomorrow S Lustig 16:38-16:46 Do we need customised implants? D Mayman 16:47-16:55 Role of pressure-sensitive devices M Roche 16:56-17:04 Enabling technologies for sustainable health care: a costly paradox? C Van Der Straeten 17:05-17:20 Discussion 17:20-18:20 Cocktail reception around exhibition area 19:00 Faculty dinner and individual country dinners Friday, 22 June 08:00-08:50 Plenary session III: The patient in 2018 E Davis and M Roche 08:00-08:07 The modern patient F Cushner 08:08-08:15 Enhanced recovery R McCalden 08:16-08:23 Outpatient surgery: Who benefits? R Von Bormann 08:24-08:31 Patient expectations K Govaers 08:32-08:39 Patient satisfaction D Mayman 08:40-08:50 Discussion 08:50-09:40 Plenary session IV: A hip is not a knee G Van Hellemondt and T Wilton 08:50-08:57 Evaluation and prioritisation J Victor 08:58-09:05 Fixation R McCalden 09:06-09:13 Tribology T Heyse 09:14-09:21 Restoring normality? E Su 09:22-09:29 Is allergy an issue? D Mayman 09:30-09:40 Discussion 09:40-10:10 Coffee break 10:10-10:55 Hip session III: Surgical approaches to the hip: A 3-way debate K Govaers and R McCalden 10:10-10:13 Setting the scene: Influence of the approaches on PROMs K Govaers 10:14-10:18 DAA M Leunig 10:19-10:23 Antero-lateral C Perka 10:24-10:28 Posterior T Andrade 10:29-10:35 Discussion 10:36-10:45 Approaches in revision S Jones 10:46-10:55 Discussion

9 Page 9 3 rd Insights Evidence and Outcomes in THA and TKA June 2018 Friday, 22 June 10:10-10:55 Knee session III: The crucial ligaments J Bellemans and D Mayman 10:10-10:17 Preserving both cruciates A Tria 10:18-10:25 Replacing both cruciates F Cushner 10:26-10:33 Taking out the cruciates: Kinematics consequences F Catani 10:34-10:41 Cruciate retaining: Is it all or nothing? T Wilton 10:42-10:49 JOURNEY II BCS retrospective study preliminary results 10:50-10:55 Panel discussion H Vandenneucker 11:00-11:50 Hip session IV: The bearing in 2018 F Haddad and E Su 11:00-11:08 Ceramic on ceramic: Still a role? L Zagra 11:09-11:17 XLPE has made the difference S Konan 11:18-11:26 VERILAST : Do we have the answer? E Davis 11:27-11:35 Novel bearings S Journeaux 11:36-11:50 Discussion 11:00-11:35 Knee session IV: Exposure and approaches to the knee T Heyse and M McAuliffe 11:00-11:07 MIS approach: Is there added value? A Tria 11:08-11:15 Lateral approach to the valgus knee S Lustig 11:16-11:23 Approach to the stiff knee Y Zhou 11:24-11:31 Dealing with the patella H Vandenneucker 11:32-11:55 Discussion 11:55-12:45 Hip session V: Femoral choices in primary THA L Zagra and R Mardones 11:55-12:03 Short stems F Falez 12:04-12:12 Resurfacing S Journeaux 12:13-12:21 Cemented hip T Heyse 12:22-12:30 Cementless hip A Fiquet 12:31-12:45 Discussion 11:40-12:45 Knee session V: Alignment J Victor and J Chow 11:40-11:47 Kinematic alignment F Catani 11:48-11:55 Mechanical alignment R Von Bormann 11:56-12:03 Keep them in varus J Bellemans 12:04-12:11 Rotational alignment R Schwarzkopf 12:12-12:19 Sagittal alignment M Roche 12:20-12:30 Joint line: Solving the paradox? J Victor 12:31-12:45 Discussion 12:50-13:20 Lunchtime symposium - Sports Medicine - Knee Repair (Optional) 12:50-13:00 Coblation in the knee: Faster, better, safe E Post 13:00-13:10 Save the meniscus A Ajuied 13:10-13:20 Discussion

10 Page 10 Friday, 22 June 13:45-14:30 Hip session VI: Challenging hip in 2018 Complex case discussion 13:45-14:30 Case discussion with faculty panel S Jones and R Mardones F Haddad, E Su, R McCalden L Zagra, C Perka 13:45-14:30 Knee session VI: Focus on knee revision R Schwarzkopf and H Vandenneucker 13:45-13:53 Implant removal D Van Der Jagt 13:54-14:02 Bone loss A Rajgopal 14:03-14:11 Joint line and balancing in revision TKA G Van Hellemondt 14:12-14:20 Zonal fixation A Tria 14:21-14:30 Discussion 14:35-15:25 Hip session VII: Avoiding complications in THA F Falez and C Perka 14:35-14:40 The causes of THA failures and how to avoid them R Mardones 14:41-14:49 Avoiding leg length discrepancy Y Zhou 14:50-14:58 Avoiding fracture J Fernández-Valencia 14:59-15:07 Avoiding dislocation A Fiquet 15:08-15:16 Avoiding taper problems R McCalden 15:17-15:25 Discussion 14:35-15:25 Knee session VII: Knee revision in 2018: Complex case discussion G Van Hellemondt and A Rajgopal 14:35-15:25 Case discussion with faculty panel R Schwarzkopf, H Vandenneucker D Van Der Jagt, S Parratte F Cushner, A Tria 15:25-15:55 Coffee break 15:55-16:50 Plenary session V: Perioperative Management S Lustig and S Parratte 15:55-16:03 Blood management Y Zhou 16:04-16:12 Pain management J Chow 16:13-16:21 Discharge care and follow-up E Su 16:22-16:30 Role of NPWT in closed surgical incision management H Birke-Sørensen 16:31-16:50 Discussion 16:50-17:45 Plenary session VI: Evolving models of care L Zagra and M McAuliffe 16:50-16:58 My experience in a changing healthcare environment D Mayman 16:59-17:07 Innovation: who, when & where? F Haddad 17:08-17:16 Rationing in healthcare T Wilton 17:17-17:25 Long-term follow up S Toksvig Larsen 17:26-17:45 Discussion 19:00 Departure for meeting dinner

11 Page 11 3 rd Insights Evidence and Outcomes in THA and TKA June 2018 Saturday, 23 June 08:15-09:25 Plenary session VII: Infection management R McCalden and D Van der Jagt 08:15-08:25 Diagnosis A Trampuz 08:26-08:33 Acute infection management C Perka 08:34-08:41 Optimising the host S Oussedik 08:42-08:49 Established infection treatments: Algorithm and management F Haddad 08:50-08:57 DAIR - current controversy for chronic infection G Van Hellemondt 08:58-09:05 Reducing complications post-surgery S Karlakki 09:06-09:13 Future, novel strategies: Coating, non-antibiotic treatment S Parratte 09:14-09:25 Discussion 09:25-09:55 Coffee break 09:55-10:40 Hip session VIII: Revision algorithm F Haddad and R McCalden 09:55-10:03 Managing the unstable hip D Van Der Jagt 10:04-10:12 Managing the periprostetic fracture C Perka 10:13-10:21 Algorithm for acetabular reconstruction S Jones 10:22-10:30 Algorithm for femoral reconstruction R Schwarzkopf 10:31-10:40 Discussion 09:55-10:40 Knee session VIII: Challenging primary knee in 2018 S Oussedik and F Cushner 09:55-10:02 Fixed flexion contracture G Van Hellemondt 10:03-10:10 Multi-operated knee A Rajgopal 10:11-10:18 The muscular young male patient S Parratte 10:19-10:26 Chronic patella dislocation S Lustig 10:27-10:34 The poor host S Toksvig Larsen 10:35-10:40 Discussion 10:45-11:35 Hip session IX: Revision techniques G Van Hellemondt and S Jones 10:45-10:52 Extended osteotomy K Govaers 10:53-11:00 Implant removal L Zagra 11:01-11:08 Cement removal R Schwarzkopf 11:09-11:16 Acetabular defect reconstruction R McCalden 11:17-11:24 Distal femoral reconstruction fixation in revision S Konan 11:25-11:35 Discussion 10:45-11:35 Knee session IX: Focus on enabling technologies in TKA R Von Bormann and T Wilton 10:45-10:53 What can robots do today? J Chow 10:54-11:02 Coronal alignment using robotic-assisted technology A Rajgopal 11:03-11:11 NAVIO surgical system - Knees with handheld Robotics R Mitra 11:12-11:20 PSI: Still a role to play? M McAuliffe 11:21-11:35 Discussion

12 Page 12 Saturday, 23 June 11:45-12:45 Plenary session VIII: The future of hip and knee surgery F Haddad and J Victor 11:45-11:53 Augmented reality S Lustig 11:54-12:04 Patient centred follow up: The PROMIS app E Davis 12:05-12:13 Changing face of early intervention J Bellemans 12:14-12:22 The joint for life D Van Der Jagt 12:23-12:31 Big data C Van Der Straeten 12:32-12:45 Wrap up: 10 highlights and take away messages Chairmen 12:45 Lunch and departures

13 Page 13 3 rd Insights Evidence and Outcomes in THA and TKA June 2018 Sports Medicine - Knee Repair Lunchtime Symposium Join us! 22 June 2018, Kings Suite - 12:50-13:20 Faculty: Adil Ajuied (UK) - Save the Meniscus Ella Post (S&N) - Coblation in the Knee: Faster, Better, Safe Description This Lunchtime symposia will give attendees an introduction to COBLATION, WEREWOLF and a chance to hear how the technology can provide better patient outcomes with supporting evidence. The second part of the session will focus on the meniscal pathologies and treatment options available for Saving the Meniscus. Presented by Adil Ajuied, emerging techniques for repair and transplantation will be discussed. Learning objectives Understand the principal of Saving the Meniscus Increase knowledge of emerging techniques in meniscus repair Gain in-depth understanding of the COBLATION and WEREWOLF design objectives

14 Page 22 Meeting venue Hilton London Metropole 225 Edgware Road London, W2 1JU Meeting hotels Hilton London Metropole 225 Edgware Road London, W2 1JU Hilton London Paddington 146 Praed Street London, W2 1EE Internet access SSID Name: 3rdinsights Password: Meeting App Event Password: London Organisation Monique Wehmeijer Content Delivery Manager Professional Education Mobile Ground transfers Transfer will be arranged according to your travel details received Meeting dinner De Vere Grand Connaught Rooms Great Queen Street London, WC2B 5DA Dress code Business casual

15 Page 23 3 rd Insights Evidence and Outcomes in THA and TKA June 2018 Registration fee Registration fee covers ground transportation during programme, accommodation (two nights), course dinner, course materials and refreshments. Course certificates Delegates will receive a certificate of attendance on completion of the course. Such certificate of attendance will be delivered only to delegates who attend all of the course, unless there are exceptional circumstances. Any exceptions for legitimate reasons will be assessed by the course organiser. Disclaimer The information presented is solely for informational and educational purposes. Promotion of Smith & Nephew products is to be on-label and consistent with approved indications and intended uses. For detailed device information, including indications for use, contraindications, effects, precautions and warnings, please consult the product s Instructions for Use (IFU) prior to use. The presentations and the information presented may not be appropriate for all jurisdictions. In particular, the uses presented cannot be promoted and have not been cleared or approved in the United States. Smith & Nephew does not provide medical advice. The presentations are not intended to serve as medical advice. The presentations reflect the views of the presenter and do not necessarily represent the view of Smith & Nephew. Smith & Nephew does not guarantee the accuracy or reliability of the information provided in this presentation. Responsibility for obtaining permission to use images contained in this presentation is that of the presenter, not Smith & Nephew. The faculty presenters are paid consultants of Smith & Nephew. Intellectual Property Lectures and case studies are property of the faculty. All rights are reserved. Recording, photographing or copying of lectures by attendees is forbidden. Code of ethics All healthcare professionals must comply with their local guidelines and regulations regarding the costs associated with any meeting. Smith & Nephew, is committed to following the relevant code of ethics and limits attendance at company sponsored events to healthcare professionals with a bona fide professional interest. Photography and video During this course/event, photographs may be taken and audio/visual video footage may be recorded by Smith & Nephew. Smith & Nephew may use such photos/footage on the Smith & Nephew website and in communication and promotional material outlining our educational events and services. By attending our course/event you are consenting to use of images of you as described above. If you do not want us to use imagery or recordings in which you feature, please inform us in writing before or during the course/event. If you have any questions about any of the above please contact us at education@smith-nephew.com. For further information about how Smith & Nephew uses and protects your information, including images please read our privacy statement at

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